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Contact Information

TRACI H COLLINSWORTH, M.S., CCC-SLP
14057 DUNNBARTON DR
GULFPORT, MS39503-4998
 Phone: 228-236-7698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for TRACI H COLLINSWORTH · (Female)

NPI # 1750772067
Status Active
Credentials M.S., CCC-SLP
Entity Individual
Enumeration date 02/09/2015
Last updated 02/09/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # S3190
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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